Survey on the function, structure and operation of hospital ethics committees in Shanghai
Journal of Medical Ethics 35 (8):512-516 (2009)
Authors |
Tingjun Wang
University of Toronto
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Abstract |
Objective: The objectives of this study are to understand the current functions, structure and operation of hospital ethics committees (HECs) in Shanghai and to facilitate their improvement. Methods: (1) A questionnaire survey, (2) interviews with secretaries and (3) on-site document reviews of HECs in Shanghai were used in the study, which surveyed 33 hospitals. Results: In Shanghai, 57.56% of the surveyed hospitals established HECs from 1998 to 2005. Most HECs used bioethical review of research involving human subjects as well as bioethical review or consultation regarding medical care services and administrative decision- making. Of the surveyed HECs, 14.3% did not provide any formal bioethical training to the HECs’ members and many HECs had no standard operating procedures. Some HECs had no clear definition of what was “conflict of interest” that should be considered by the HECs, while 44.4% of the HECs did not perform continuing review. Discussion: After the issues of related national regulations, more and more hospitals established HECs in Shanghai, but the functions of HECs need to be further developed and formal training on bioethics should be provided to HEC members. To assure the independence and good performance of HECs, the conflict of interest procedure, the standard operating procedures and bioethical review should be improved. Conclusion: HECs in Shanghai had developed in the preceding 10 years and they played great roles in protecting the rights and welfare of human subjects and patients; some areas need improvement
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DOI | 10.1136/jme.2008.028340 |
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References found in this work BETA
Ethical Review of Health Research: A Perspective From Developing Country Researchers.A. A. Hyder - 2004 - Journal of Medical Ethics 30 (1):68-72.
The Bioethical Principles and Confucius' Moral Philosophy.D. F.-C. Tsai - 2005 - Journal of Medical Ethics 31 (3):159-163.
Clinical Ethics Committees: Clinician Support or Crisis Management? [REVIEW]Deryck Beyleveld, Roger Brownsword & Susan Wallace - 2002 - HEC Forum 14 (1):13-25.
Developing Standards for Institutional Ethics Committees: Lessons From the Netherlands.H. H. van Der Kloot Meijburg - 2001 - Journal of Medical Ethics 27 (90001):36i-40.
Citations of this work BETA
Why Are There So Few Ethics Consults in Children’s Hospitals?Brian Carter, Manuel Brockman, Jeremy Garrett, Angie Knackstedt & John Lantos - 2018 - HEC Forum 30 (2):91-102.
The Functioning of Hospital Ethics Committees: A Multiple-Case Study of Four Canadian Committees. [REVIEW]Alice Gaudine, Marianne Lamb, Sandra M. LeFort & Linda Thorne - 2011 - HEC Forum 23 (3):225-238.
Ethics, Patient Rights and Staff Attitudes in Shanghai's Psychiatric Hospitals.Liang Su, Jingjing Huang, Weimin Yang, Huafang Li, Yifeng Shen & Yifeng Xu - 2012 - BMC Medical Ethics 13 (1):8-.
Analysis of the Status of Informed Consent in Medical Research Involving Human Subjects in Public Hospitals in Shanghai.W. Jianping, L. Li, D. Xue, Z. Tang, X. Jia, R. Wu, Y. Xi, T. Wang & P. Zhou - 2010 - Journal of Medical Ethics 36 (7):415-419.
Analysis of the Status of Informed Consent in Medical Research Involving Human Subjects in Public Hospitals in Shanghai.Wang Jianping, Lan Li, Zhongjin di XueTang, Xieyang Jia, Rong Wu, Yiqun Xi, Tong Wang & Ping Zhou - 2010 - Journal of Medical Ethics 36 (7):415-419.
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